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AEGIS TREATMENT CENTERS LLC NPI 1821722265


NPI Information

NPI: 1821722265
Provider Name: AEGIS TREATMENT CENTERS, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 05D2289495

Address:
1649 AND 1651 LANDER AVENUE
TURLOCK, CA
ZIP 95380
Phone: (209) 353-4838
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AEGIS TREATMENT CENTERS, LLC is a methadone clinic center in Turlock, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. AEGIS TREATMENT CENTERS, LLC NPI is 1821722265. The provider is registered as an organization entity type.

The provider's business location address is:

1649 AND 1651 LANDER AVENUE
TURLOCK, CA
ZIP 95380
Phone: (209) 353-4838
Fax: (209) 416-4110

The provider's authorized official is Denise Winant .
The authorized official title is Credentialing Supervisor and has the following contact phone number (732) 570-0268.

The CLIA number assigned to this NPI record is 05D2289495 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2022 and was last updated on 9/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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